Mopath procedure level 9 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$2,760.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$3,902.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$496.25 with HAP vs $4,320.00 with Nomi — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| HAP | HAP HMO_AHL_Fully Insured | $496.25 | ↓ -82% |
| HAP | Self-Funded | $569.10 | ↓ -79% |
| Priority Health | Medicaid HMO | $1,046.00 | ↓ -62% |
| HAP | HAP Caresource Medicaid | $1,046.00 | ↓ -62% |
| McLaren | Medicaid HMO | $1,046.00 | ↓ -62% |
| Meridian | Medicaid HMO | $1,046.00 | ↓ -62% |
| Aetna Better Health | Medicaid HMO | $1,066.92 | ↓ -61% |
| Molina | Medicaid HMO | $1,129.68 | ↓ -59% |
| Blue Cross | BCBSM GM Connected Care | $1,398.40 | ↓ -49% |
| Blue Cross | BCN Commercial | $1,448.56 | ↓ -48% |
| Blue Cross | BCBSM Commercial | $1,448.56 | ↓ -48% |
| BCN | HMO | $1,448.56 | ↓ -48% |
| Amerihealth Caritas | Dual Products | $1,560.80 | ↓ -43% |
| Humana Military | Tricare | $1,631.90 | ↓ -41% |
| Pace SE MI | Medicare Advantage | $1,900.00 | ↓ -31% |
| Vitalcore | All Products | $1,951.00 | ↓ -29% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $2,000.00 | ↓ -28% |
| Aetna | Medicare Advantage | $2,000.00 | ↓ -28% |
| Blue Cross | BCN Advantage | $2,000.00 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $2,000.00 | ↓ -28% |
| HAP | HAP Dual Products | $2,000.00 | ↓ -28% |
| HAP | Medicare Advantage | $2,000.00 | ↓ -28% |
| McLaren | Medicare Advantage | $2,000.00 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $2,000.00 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $2,000.00 | ↓ -28% |
| Priority Health | Medicare Advantage | $2,000.00 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $2,000.00 | ↓ -28% |
| United Healthcare | VACCN | $2,000.00 | ↓ -28% |
| WellCare | Medicare Advantage | $2,000.00 | ↓ -28% |
| Humana | Medicare Advantage | $2,020.00 | ↓ -27% |
| Aetna | Dual Products | $2,200.00 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $2,400.00 | ↓ -13% |
| United Healthcare | UHC Commercial | $2,400.00 | ↓ -13% |
| Multiplan | All Products | $2,575.32 | ↓ -7% |
| Meridian | Ambetter From Meridian | $2,700.00 | ↓ -2% |
| Cofinity | Commercial | $2,758.71 | ↓ -0% |
| United Healthcare | Baseline Benefit Plan | $2,880.00 | ↑ +4% |
| Priority Health | Priority Cigna | $3,041.61 | ↑ +10% |
| Aetna | Commercial | $3,491.25 | ↑ +26% |
| Priority Health | Commercial | $3,902.00 | ↑ +41% |
| Nomi | All Products | $4,320.00 | ↑ +57% |
| ScriptGuideRX | All Products | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Mopath procedure level 9 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $2,760.00 | $537.62 – $5,420.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $2,760.00 | $496.25 – $4,320.00 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $2,760.00 | $496.25 – $4,320.00 |
| Henry Ford St John Hospital | Detroit | $1,674.40 | $364.91 – $2,445.30 |
| Henry Ford River District Hospital | China Township | $1,535.52 | $364.91 – $2,445.30 |
| Henry Ford Warren Hospital | Warren | $1,674.40 | $364.91 – $2,445.30 |
| Corewell Health Big Rapids | Big Rapids | not published | $1,800.00 – $3,600.00 |
| Corewell Health Gerber | Fremont | not published | $1,900.00 – $1,900.00 |